Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56,763.60 / $108,596.00 / $220,637.00	Facility		$56,763.60	$108,596.00	$220,637.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165,993.62 / $165,993.62 / $176,365.13	Facility		$165,993.62	$165,993.62	$176,365.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,684.00 / $5,684.00 / $5,684.00	Facility		$5,684.00	$5,684.00	$5,684.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $64,151.52 / $95,920.12	Facility		$7,500.00	$64,151.52	$95,920.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $60,800.50 / $176,365.13	Facility		$7,500.00	$60,800.50	$176,365.13